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Jillian M Ewen , MED, LPC

Counselor β€’ Chickasha, OK

Active NPI 1235494600 Individual Practitioner Female Practitioner
Practice location in NPPES

198 E Almar Dr
Chickasha, OK 730187327

Call 4052225437 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

198 E Almar Dr

Chickasha, OK 730187327

Telephone 4052225437
Organization at the Same NPPES Address or Phone
Southwest Youth And Family Services, Inc. Facility NPI 1972631349

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Chickasha and Oklahoma

15 active clinicians are listed under Counselor with a practice address in Chickasha, OK (4,434 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chickasha

0% of these 15 clinicians have the CMS telehealth indicator.

0% of these 15 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-07-14
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
200437530A (OK)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Practice Location July 14, 2022

Registered at 198 E ALMAR DR, CHICKASHA, OK 730187327 (Tel: 4052225437)

πŸ“
Updated Business Mailing Address July 14, 2022

Registered at PO BOX 829, CHICKASHA, OK 730230829 (Tel: 4052225437)

πŸ‘€
Provider Name / Credentials Updated July 14, 2022

Recorded as JILLIAN EWEN, M.ED., LPC

βœ…
NPI Profile Active October 10, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location October 10, 2017

Registered at 2401 TEE CIR STE 107, NORMAN, OK 730696207 (Tel: 4055010483)

πŸ“
Updated Business Mailing Address October 10, 2017

Registered at 2401 TEE CIR STE 107, NORMAN, OK 730696207 (Tel: 4055010483)

πŸ‘€
Provider Name / Credentials Updated October 10, 2017

Recorded as JILLIAN FAULKNER, M.ED., LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2017

Counselor

βœ…
NPI Profile Active April 01, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 01, 2014

Registered at 2100 N BROADWAY AVE, ADA, OK 748201048 (Tel: 5804367120)

πŸ“
Business Mailing Address (Initial Record) April 01, 2014

Registered at 2100 N BROADWAY AVE, ADA, OK 748201048 (Tel: 5804367120)

πŸ‘€
Provider Name / Credentials (Initial Record) April 01, 2014

Recorded as JILLIAN FAULKNER, M.ED., LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2014

Counselor

🟒
Initial NPI Registration & Enumeration July 11, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1235494600
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2012
Last Update: July 14, 2022
Sole Proprietor: Yes

Mailing Address

Po Box 829

Chickasha, OK 730230829

Phone: 4052225437

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.